Individual
KRISTEN MELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 BUCKINGHAM CT, MANKATO, MN 56001-5576
(320) 282-8257
Mailing address
104 BUCKINGHAM CT, MANKATO, MN 56001-5576
(320) 282-8257
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
176872-3
MN
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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